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壳聚糖作为纳米载体在治疗炎症性肠病中的应用。

Application of chitosan as nano carrier in the treatment of inflammatory bowel disease.

机构信息

Department of Gastroenterology, Huaihe Hospital of Henan University, 115 Ximen Street, Kaifeng 475000, Henan, China.

Hubei University of Science and Technology, 88 Xianning Road, Xianning 437100, Hubei, China.

出版信息

Int J Biol Macromol. 2024 Oct;278(Pt 4):134899. doi: 10.1016/j.ijbiomac.2024.134899. Epub 2024 Aug 24.

Abstract

Inflammatory bowel disease (IBD), encompassing ulcerative colitis (UC) and Crohn's disease (CD), is characterized by persistent and recurrent gastrointestinal inflammation. Conventional IBD therapies often involve the use of antibiotics, NSAIDs, biological agents, and immunomodulators. While these medications can mitigate acute inflammatory symptoms, their long-term efficacy is frequently compromised due to cumulative toxic effects. In recent years, significant attention has shifted toward nanoparticle (NP)-based therapies as potential alternatives for IBD management. Various drug delivery strategies, including those targeting microbiota interactions, ligand-receptor binding, pH sensitivity, biodegradability, pressure response, and specific charge and size parameters, have been explored and optimized in animal studies. This review provides a comprehensive overview of the current landscape of chitosan NP-mediated drug delivery systems for IBD treatment. Additionally, it will discuss the prevailing challenges and propose future research directions to advance chitosan NP-based therapeutic strategies for IBD.

摘要

炎症性肠病(IBD)包括溃疡性结肠炎(UC)和克罗恩病(CD),其特征是持续和反复的胃肠道炎症。传统的 IBD 治疗方法通常涉及使用抗生素、非甾体抗炎药、生物制剂和免疫调节剂。虽然这些药物可以减轻急性炎症症状,但由于累积的毒性作用,其长期疗效经常受到影响。近年来,人们越来越关注基于纳米颗粒(NP)的治疗方法,将其作为 IBD 管理的潜在替代方法。各种药物输送策略,包括针对微生物群相互作用、配体-受体结合、pH 敏感性、生物降解性、压力响应以及特定电荷和大小参数的策略,已经在动物研究中进行了探索和优化。本综述全面概述了壳聚糖 NP 介导的用于 IBD 治疗的药物输送系统的现状。此外,还将讨论当前的挑战,并提出未来的研究方向,以推进基于壳聚糖 NP 的治疗策略用于 IBD。

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